
Applied Behavior Analysis (ABA) is the gold standard for autism therapy across the U.S.—yet more than half of American counties don’t have a single certified provider. For families seeking timely, life-changing intervention, this shortage isn’t just a statistic—it’s a source of daily stress, long waitlists, and heartbreaking delays in care.
A recent study uncovered a harsh truth: thousands of children across the country live in regions with no access to board-certified behavior analysts (BCBAs), even though demand for autism services is growing rapidly. So what can families do when they feel left behind by the system?
Let’s break down the problem—and how parents in Maryland can take action.
The ABA Therapy Gap: A National Crisis with Local Impact
ABA therapy has long been praised for its effectiveness in helping children on the autism spectrum develop communication, social, and self-care skills. It’s backed by decades of research, and it’s covered by insurance in all 50 states. Yet the reality on the ground is far from equitable.
According to the new findings, over 54% of U.S. counties lack even one BCBA, leaving countless children without access to this critical resource. Even in counties with at least one provider, the ratio of autistic children to therapists can exceed 300 to 1—making waitlists months (or even years) long.
Rural and lower-income areas are hit the hardest. These communities often lack not only ABA professionals but also nearby counties with available services, compounding the isolation and scarcity.

Why This Shortage Matters for Families
Early intervention is key in supporting children with autism. The sooner therapy begins, the more effective it is in helping kids build foundational skills and independence. Delays in access can mean missed milestones, increasing frustration for both children and their families.
In underserved counties, many parents are forced to drive hours for therapy—or worse, go without altogether. It’s not uncommon for families to uproot their lives just to be closer to ABA providers. But relocation isn’t an option for everyone.
Maryland Families: You Have Options Closer Than You Think
While the national picture may seem bleak, there is hope—and high-quality care—for families in Maryland.
If you’re looking for reliable, evidence-based therapy, ABA therapy services in Maryland offered by Actify ABA can make all the difference. Actify ABA provides personalized, compassionate, and clinically proven programs designed to meet each child’s unique needs.
Their team of board-certified experts brings structure, support, and encouragement to both children and their caregivers—right where you are.
Building a Better Future, One Family at a Time
Solving the national shortage of ABA therapists will take time, policy changes, and targeted incentives. But for Maryland families, the answer doesn’t have to wait.
Get in touch today to explore how Actify ABA can help your child thrive. When access is limited, finding a trusted partner in your area is everything. And with Actify ABA, expert care is never out of reach.